Provider Demographics
NPI:1669264008
Name:SAGE OCCUPATIONAL THERAPY LLC
Entity type:Organization
Organization Name:SAGE OCCUPATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:OTD OTR/L
Authorized Official - Phone:314-308-1815
Mailing Address - Street 1:731 CARMAN MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7174
Mailing Address - Country:US
Mailing Address - Phone:314-308-1815
Mailing Address - Fax:
Practice Address - Street 1:731 CARMAN MEADOWS DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63021-7174
Practice Address - Country:US
Practice Address - Phone:314-308-1815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty